{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T16:12:56Z","timestamp":1790698376812,"version":"4.1.0"},"reference-count":30,"publisher":"American Academy of Pediatrics (AAP)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,2,1]]},"abstract":"<jats:sec><jats:title>BACKGROUND AND OBJECTIVES:<\/jats:title><jats:p>The pediatric inpatient discharge medication process is complicated, and caregivers have difficulty managing instructions. Authors of few studies evaluate systematic processes for ensuring quality in these care transitions. We aimed to improve caregiver medication management and understanding of discharge medications by standardizing the discharge medication process.<\/jats:p><\/jats:sec><jats:sec><jats:title>METHODS:<\/jats:title><jats:p>An interprofessional team at an urban, tertiary care children\u2019s hospital trialed interventions to improve caregiver medication management and understanding. These included mnemonics to aid in complete medication counseling, electronic medical record enhancements to standardize medication documentation and simplify dose rounding, and housestaff education. The primary outcome measure was the proportion of discharge medication\u2013related failures in each 4-week period. Failure was defined as an incorrect response on \u22651 survey questions. Statistical process control was used to analyze improvement over time. Process measures related to medication documentation and dose rounding were compared by using the \u03c72 test and process control.<\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS:<\/jats:title><jats:p>Special cause variation occurred in the mean discharge medication\u2013related failure rate, which decreased from 70.1% to 36.1% and was sustained. There were significantly more complete after-visit summaries (21.0% vs 85.1%; P &amp;lt; .001) and more patients with simplified dosing (75.2% vs 95.6%; P &amp;lt; .001) in the intervention period. Special cause variation also occurred for these measures.<\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSIONS:<\/jats:title><jats:p>A systematic approach to standardizing the discharge medication process led to improved caregiver medication management and understanding after pediatric inpatient discharge. These changes could be adapted by other hospitals to enhance the quality of this care transition.<\/jats:p><\/jats:sec>","DOI":"10.1542\/peds.2019-2711","type":"journal-article","created":{"date-parts":[[2021,1,6]],"date-time":"2021-01-06T09:26:56Z","timestamp":1609925216000},"source":"Crossref","is-referenced-by-count":7,"title":["Implementation of a Standardized Approach to Improve the Pediatric Discharge Medication Process"],"prefix":"10.1542","volume":"147","author":[{"given":"Kaitlyn","family":"Philips","sequence":"first","affiliation":[{"name":"Children\u2019s Hospital at Montefiore, Bronx, New York;"},{"name":"Department of Pediatrics, Albert Einstein College of Medicine, Bronx, New York;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roy","family":"Zhou","sequence":"additional","affiliation":[{"name":"NewYork-Presbyterian Queens Hospital, Flushing, New York;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diana 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